define("pages/wpjs/wpjs_sw_form.html", [],
    '<div class="awd-form-placeholder"></div>\
     <div class="awd-form-panel">\
         <div class="row">\
             <div class="col-sm-12 awd-form-header">物品接收登记表</div>\
         </div>\
         <div class="row form-inline awd-form-tools">\
             <div class="col-sm-6">\
                 <div class="form-group">\
                     <label class="control-label">填表人：</label>\
                     <p class="form-control-static">{{tbr}}</p>\
                 </div>\
             </div>\
             <div class="col-sm-6 text-right">\
                 <div class="form-group">\
                     <label class="control-label">填表日期：</label>\
                     <p class="form-control-static">{{tbrq}}</p>\
                 </div>\
             </div>\
         </div>\
         <form class="form-inline awd-input-form awd-form">\
             <input type="hidden" name="tbr" value="{{tbr}}">\
             <input type="hidden" name="tbrq" value="{{tbrq}}">\
             <input type="hidden" name="rybh" value="{{data.rybh}}">\
             <input type="hidden" name="jsbh" value="{{data.jsbh}}">\
             <input type="hidden" name="sl" value="0">\
             <div class="jbxx-placeholder"></div>\
             <div class="row">\
                 <input type="hidden" name="jsbh" value="{{jsbh}}">\
                 <div class="col-sm-3 awd-label-feild"><label class="control-label">送物人姓名</label><span class="required">*</span></div>\
                 <div class="col-sm-3 awd-input-field"><input type="text" name="swrxm" class="form-control" required></div>\
                 <div class="col-sm-3 awd-label-feild"><label class="control-label">送物人性别</label><span class="required">*</span></div>\
                 <div class="col-sm-3 awd-input-field"><input type="text" class="form-control awdSelect" name="xb" code=\'XB\' required></div>\
                 <div class="col-sm-3 awd-label-feild"><label class="control-label">与被送物品人关系</label><span class="required">*</span></div>\
                 <div class="col-sm-3 awd-input-field"><input type="text" class="form-control awdSelect" name="gx" code=\'GX\' required></div>\
                 <div class="col-sm-3 awd-label-feild"><label class="control-label">证件类型</label><span class="required">*</span></div>\
                 <div class="col-sm-3 awd-input-field">\
                     <label class="radio-inline"><input type="radio" name="zjlx" value="0" checked/> 身份证件</label>\
                     <label class="radio-inline"><input type="radio" name="zjlx" value="1"/> 其它证件</label>\
                </div>\
                 <div class="col-sm-3 awd-label-feild"><label class="control-label">送物人证件号码</label><span class="required">*</span></div>\
                 <div class="col-sm-3 awd-input-field"><input type="text" name="zjhm" class="form-control" required></div>\
                 <div class="col-sm-6 awd-input-field">\
                 <button type="button" class="btn btn-primary btn-awd">扫描二代证</button> \
                 <button type="button" class="btn btn-primary btn-awd">在逃比对</button>\
                 </div>\
                 <div class="col-sm-3 awd-label-feild"><label class="control-label">执勤民警</label><span class="required">*</span></div>\
                 <div class="col-sm-3 awd-input-field"><input type="text" name="zqmj" value="{{tbr}}" class="form-control" required></div>\
                 <div class="col-sm-3 awd-label-feild"><label class="control-label">送物时间</label><span class="required">*</span></div>\
                 <div class="col-sm-3"><input type="text" name="swsj" class="form-control easyui-datetimebox" ></div>\
                 <div class="col-sm-3 awd-label-feild"><label class="control-label">送物人联系电话</label><span class="required">*</span></div>\
                 <div class="col-sm-3 awd-input-field"><input type="text" name="lxdh" class="form-control" required></div>\
                 <div class="col-sm-3 awd-label-feild"><label class="control-label">工作单位</label><span class="required">*</span></div>\
                 <div class="col-sm-3 awd-input-field"><input type="text" name="gzdw" class="form-control" required></div>\
                 <div class="col-sm-3 awd-label-feild"><label class="control-label">地址</label><span class="required">*</span></div>\
                 <div class="col-sm-9 awd-input-field"><input type="text" name="dz" class="form-control" required></div>\
                 <div class="col-sm-3 awd-label-feild"><label class="control-label">送钱金额</label></div>\
                 <div class="col-sm-9 awd-input-field"><input type="text" name="sqje" class="form-control" ></div>\
                 <div class="col-sm-3 awd-label-feild" style="height: 143px;line-height: 143px;"><label class="control-label">物品信息</label><span class="required">*</span></div>\
                 <div class="col-sm-9 awd-input-field" style="height: 143px;">\
                 <label class="checkbox-inline" style="margin-left: 10px;"><input type="checkbox" name="wpxx" value="0"/> 秋衣</label>\
                 <label class="checkbox-inline"><input type="checkbox" name="wpxx" value="1"/> 秋裤</label>\
                 <label class="checkbox-inline"><input type="checkbox" name="wpxx" value="2"/> 保暖衣</label>\
                 <label class="checkbox-inline"><input type="checkbox" name="wpxx" value="3"/>保暖裤</label>\
                 <label class="checkbox-inline"><input type="checkbox" name="wpxx" value="4"/>绒衣</label>\
                 <label class="checkbox-inline"><input type="checkbox" name="wpxx" value="5"/>T恤衫</label>\
                 <label class="checkbox-inline"><input type="checkbox" name="wpxx" value="6"/>书籍</label>\
                 <label class="checkbox-inline"><input type="checkbox" name="wpxx" value="7"/>棉大衣</label>\
                 <label class="checkbox-inline"><input type="checkbox" name="wpxx" value="8"/>衬衣</label>\
                 <label class="checkbox-inline"><input type="checkbox" name="wpxx" value="9"/>毛巾</label>\
                 <label class="checkbox-inline"><input type="checkbox" name="wpxx" value="10"/>背心</label>\
                 <label class="checkbox-inline"><input type="checkbox" name="wpxx" value="11"/>内裤</label>\
                 <label class="checkbox-inline"><input type="checkbox" name="wpxx" value="12"/>棉鞋</label>\
                 <label class="checkbox-inline"><input type="checkbox" name="wpxx" value="13"/>袜子</label>\
                 <label class="checkbox-inline"><input type="checkbox" name="wpxx" value="14"/>床单</label>\
                 <label class="checkbox-inline"><input type="checkbox" name="wpxx" value="15"/>被罩</label>\
                 <label class="checkbox-inline"><input type="checkbox" name="wpxx" value="16"/>枕套</label>\
                 <label class="checkbox-inline"><input type="checkbox" name="wpxx" value="17"/>短裤</label>\
                 <label class="checkbox-inline"><input type="checkbox" name="wpxx" value="18"/>布鞋</label>\
                 <label class="checkbox-inline"><input type="checkbox" name="wpxx" value="19"/>拖鞋</label>\
                 <label class="checkbox-inline"><input type="checkbox" name="wpxx" value="20"/>树脂眼镜</label>\
                 <label class="checkbox-inline"><input type="checkbox" name="wpxx" value="21"/>运动衣</label>\
                 <label class="checkbox-inline"><input type="checkbox" name="wpxx" value="22"/>运动裤</label>\
                 </div>\
                 <div class="col-sm-3 awd-label-feild" style="height:60px;line-height:60px;"><label class="control-label">备注</label></div>\
                 <div class="col-sm-9" style="height:60px;"><textarea name="bz" class="form-control" ></textarea></div>\
                 <div class="col-sm-12 awd-label-feild">历史记录</div>\
             </div>\
         </form>\
 \
         <div class="row text-center form-submit-tools">\
             <a href="javascript:void(0)" class="easyui-linkbutton save-button" iconCls="icon-ok" style="margin-right: 30px">保存</a>\
             <a href="javascript:void(0)" class="easyui-linkbutton close-button" iconCls="icon-cancel">关闭</a>\
         </div>\
     </div>\
         ');